Family Process最新文献

{"title":"Multisystemic Therapy for Youths With Problem Sexual Behaviors: Development and Dissemination of a Family-Based Treatment","authors":"Charles M. Borduin,&nbsp;Russell J. Borduin","doi":"10.1111/famp.70076","DOIUrl":"10.1111/famp.70076","url":null,"abstract":"<div>\u0000 \u0000 <p>Sexual offenses and other problematic sexual behaviors by youths are viewed in many countries as a legal problem rather than as a public health problem that can be treated. Multisystemic Therapy for Problem Sexual Behaviors (MST-PSB) was developed to address the dearth of effective treatments for youths with criminal and non-criminal sexual behavior problems. This article begins by describing the empirical and theoretical underpinnings of the MST-PSB treatment model and the various characteristics of the model that make it well suited for the treatment of youths with problem sexual behaviors. Next, we discuss the various clinical interventions used in MST-PSB and delineate how the model is operationalized and provided to youths and their families. Research findings that demonstrate the positive clinical outcomes, mechanisms of change, and economic benefits of MST-PSB are then reviewed, followed by a summary of how MST-PSB is implemented by provider organizations using a comprehensive approach to establishing and maintaining treatment fidelity. For family therapists who treat youths with problem sexual behaviors but are not practicing within an MST-PSB program, we hope that the conceptual framework, clinical interventions, and treatment principles described in this article can contribute to the effectiveness of your work. In addition, we suggest that administrators of programs that treat youths who engage in problem sexual behaviors should consider the current evidence base as they make decisions about the adoption of interventions for this clinical population of youths. Finally, we recommend that comprehensive, empirically supported treatment models such as MST-PSB be increasingly considered by policymakers when allocating scarce financial resources to treatments for youths with problem sexual behaviors.</p>\u0000 </div>","PeriodicalId":51396,"journal":{"name":"Family Process","volume":"64 4","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Humility as a Parenting Practice for Promoting the Health and Safety of Transgender and Gender Diverse Youth","authors":"Katie Heiden-Rootes,&nbsp;Michelle R. Dalton,&nbsp;M. Paz Galupo","doi":"10.1111/famp.70075","DOIUrl":"10.1111/famp.70075","url":null,"abstract":"<div>\u0000 \u0000 <p>Parent–child relationship quality, including the degree of emotional support and acceptance, is the single biggest predictor of suicidal ideation, suicide attempts, and mental health for transgender and gender diverse (TGD) youth. Family intervention research is underway for identifying how to change poor parent–child relationships where parents reject or are ambiguous about TGD identities. This manuscript conceptualizes parental gender-affirming cultural humility based on previous research on humility in psychology and cultural humility in psychotherapy. Parental gender-affirming cultural humility (PGACH) is applied to parent–child relationships with TGD youth, specifically. TGD youth and their cisgender parents occupy a cross-cultural relationship; parental humility practices may offer an effective point of family intervention for cultivating a new interpersonal process in the family. A case study is described with dialogue and analysis of the case for illustrating how parental humility could be cultivated and enacted in a family therapy context with parents and a TGD adolescent. Finally, implications for practice indicate a need for therapists to exercise cultural humility when engaging parents with respect and care, given their cultural backgrounds while simultaneously supporting the youth. Continued research is needed on scale formation for PGACH for measuring outcomes in family research and intervention.</p>\u0000 </div>","PeriodicalId":51396,"journal":{"name":"Family Process","volume":"64 4","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stepfamily Dynamics and Emerging Adults' Adjustment in Japan: Four Patterns Affecting Stepchildren's Outcomes","authors":"Yasumitsu Jikihara,&nbsp;Mari Kikuchi,&nbsp;Shinji Nozawa","doi":"10.1111/famp.70071","DOIUrl":"https://doi.org/10.1111/famp.70071","url":null,"abstract":"<p>Stepfamilies are increasingly prevalent worldwide; however, research on non-Western stepfamilies remains limited. This study examines stepparenting, parenting behaviors, stepcouple relationships, and biological parents' co-parenting quality in Japan, exploring their impact on the psychological adjustment of emerging adults (EAs). The sample included 421 Japanese EAs (aged 20–29) raised in stepfamilies with a resident biological mother and stepfather and a nonresident biological father. Using latent profile analysis, we identified four relationship patterns: Residence-Centered (37.8%) with strong resident mother<b>–</b>stepfather ties, Inclusive (15.9%) with positive bonds across all parental figures, Inter-household Ambivalent Loyalty (22.8%) with an ambivalent nonresident father bond and biological parents' conflictive co-parenting, and High Stepfamily Conflict (23.5%) with frequent residential stepfamily conflict. The latter two profiles were associated with low self-esteem, high depression and anxiety, and increased aggression. Similar patterns in Western studies suggest that the key aspects of stepfamily functioning may be shared across cultural contexts. Our findings suggest that balanced parental involvement and positive stepparent relationships may influence stepfamily adaptation. Providing effective support for stepfamilies requires assessing the entire family system—including nonresidential biological parents—rather than focusing solely on individual relationships. Positive parenting and connections are important; however, we found that differences in adjustment were more strongly linked to negative relational features. Hence, interventions that reduce these negative dynamics may benefit families facing considerable difficulties. Clinicians should attempt to deepen their understanding of what does and does not work in stepfamily settings.</p>","PeriodicalId":51396,"journal":{"name":"Family Process","volume":"64 4","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/famp.70071","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145135638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Families' Experience of Family Therapy by Videoconference During the First Lockdown: A Qualitative Study","authors":"R. Barge-Chanty,&nbsp;S. Minassian,&nbsp;E. Hellier,&nbsp;R. Radjack,&nbsp;S. Grandclerc,&nbsp;M. R. Moro","doi":"10.1111/famp.70073","DOIUrl":"https://doi.org/10.1111/famp.70073","url":null,"abstract":"<p>To ensure continuity of care during the Covid-19 pandemic, family therapy sessions were maintained via videoconferencing. Few studies evaluate the effectiveness of this modality. This exploratory qualitative study gathered the experiences of families who underwent videoconferencing family therapy during the first French lockdown and in-person therapy before and after. This study was conducted in France, within a department of adolescent medicine and psychiatry. Ten semi-structured interviews were conducted with eight families and analyzed using Interpretative Phenomenological Analysis. Results show that the absence of travel constraints in videoconferencing limited engagement during sessions. At home, daily life disrupted immersion, close proximity censored conversations, and therapists' virtual presence was perceived as intrusive or alliance-reinforcing. Patients described the sessions as a hiatus in therapy, citing therapists' exclusion from the family system, the paradox of being in therapy without full participation, and weak integration into the family narrative. However, videoconferencing provided crucial support during the crisis, encouraged initiative-taking, enabled participation of typically absent members, and allowed for experimentation with new formats. Some patients proposed alternating between in-person and remote sessions in the future. These challenges highlight the disruption of the therapeutic system during the abrupt transition. Therapists, shifting from active participants to observers, struggled to maintain a cohesive system. Yet, videoconferencing can redistribute control, fostering family initiative and balancing group and individual identities. This tool could complement traditional family therapy. Further research is needed to identify conditions, populations, and stages of therapy where videoconferencing is most effective.</p>","PeriodicalId":51396,"journal":{"name":"Family Process","volume":"64 4","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/famp.70073","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145135639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dyadic Profiles of Romantic Partners' Suicidal Risk and Relationship Distress Presenting for Couples Therapy","authors":"Preston C. Morgan,&nbsp;Heather A. Love,&nbsp;Garrin L. Morlan,&nbsp;Quintin A. Hunt","doi":"10.1111/famp.70074","DOIUrl":"https://doi.org/10.1111/famp.70074","url":null,"abstract":"<div>\u0000 \u0000 <p>Despite the prominence of individuals presenting for therapy with suicidal thoughts and behaviors (STBs), there is little research available that examines how one or both members of a couple experience STBs when presenting for couple therapy. Thus, there is a prominent gap in the literature in understanding the types of STBs for both adult partners in a committed romantic relationship presenting for couple therapy, reducing clinicians' preparedness to address suicidality in this unique therapy modality. We applied the Three-Step Theory as a guiding framework to investigate the types of couples with suicidal risk that present to couple therapy. We used clinical data from the Marriage and Family Therapy Practice Research Network (<i>n</i> = 337 couples) to identify Dyadic Latent Profiles. We determined a three-profile model: Profile 1: Minimal Risk; Profile 2: Active and Passive Risk; and Profile 3: Both Passive Risk. However, nearly all predictors and covariates (e.g., biological sex, race, relationship duration, mental health treatment, pressure to attend therapy, and intimate partner violence) were not associated with profile membership. These results indicate that while most couples who attend couple therapy are unlikely to display elevated suicide risk, 7% of the sample (Profile 2) displayed active risk based on the Three-Step Theory of suicide. These findings aid clinicians in understanding that a small number of couples present an active risk. Results further encourage clinicians to assess STBs with continuous and not binary assessment questions.</p>\u0000 </div>","PeriodicalId":51396,"journal":{"name":"Family Process","volume":"64 4","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145135746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intergenerational Solidarity and Family Functioning Within Korean Families in the Post-Pandemic Transition","authors":"Woosang Hwang,&nbsp;Merril Silverstein","doi":"10.1111/famp.70072","DOIUrl":"10.1111/famp.70072","url":null,"abstract":"<div>\u0000 \u0000 <p>Although intergenerational solidarity and circumplex models are widely used in family science, the articulation between these two theoretical models is less explored, particularly over time and in response to exogenous shocks such as a pandemic. Therefore, we aimed to identify dyadic latent classes of intergenerational solidarity between parents and adult children following the COVID-19 pandemic in South Korea, and whether the derived classes and their transition patterns were associated with healthy family functioning. Using 2022 (during the pandemic), 2023 (immediate post-pandemic), and 2024 (fully post-pandemic) survey data, we conducted latent class and latent transition analysis with 258 Korean parent–adult child pairs. Multivariate regression was conducted to examine the relationship between transition patterns of solidarity classes and family functioning. Latent class analysis identified the same three latent classes in 2022, 2023, and 2024: tight-knit, distant-but-digitally connected, and ambivalent. Latent transition analysis revealed that the majority of parent and adult child pairs maintained the same solidarity class across the three time points. In multivariate regression analysis, we found that parents and adult children who stayed in the tight-knit solidarity class across the three time points reported healthier post-pandemic family functioning than those who stayed in the ambivalent solidarity class. Our findings suggest that maintaining strong solidarity between parents and adult children is beneficial for healthy family functioning in the aftermath of a global pandemic. Applying both intergenerational solidarity and the circumplex model together can support the identification of problematic family dynamics.</p>\u0000 </div>","PeriodicalId":51396,"journal":{"name":"Family Process","volume":"64 3","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145093021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mindfulness-Based Couple Interventions: For Whom and Under What Conditions Do They Have Relationship Benefits?","authors":"Yunzhi Zheng","doi":"10.1111/famp.70067","DOIUrl":"https://doi.org/10.1111/famp.70067","url":null,"abstract":"<div>\u0000 \u0000 <p>Mindfulness-based couple interventions have been generally recognized as effective in enhancing relationship outcomes. However, it remains unclear specifically <i>for whom</i> and <i>under what conditions</i> such programs benefit couple relationships, leaving important clinical implications overlooked. To answer these questions, the current systematic research synthesis aimed to explore preliminary trends by (a) identifying potential patterns in how relationship benefits may differ based on sample characteristics, (b) comparing conditions of program delivery, and (c) reviewing methodological issues to provide insight for future research and interventions. A search of peer-reviewed quantitative studies published from January 2000 to April 2025 resulted in 444 studies. After applying inclusion and exclusion criteria, 21 studies involving 2,508 couples plus 328 individuals were included. Overall, most mindfulness-based couple intervention programs included predominantly White, well-educated, different-sex couples and were conducted in multi-couple, in-person group settings. Although some patterns emerged, the limited number and heterogeneity of studies warrant cautious interpretation. Preliminary trends suggested that people of color and low-SES couples could benefit comparably, or in some cases, possibly even more from participating in mindfulness-based couple interventions, especially when programs are tailored to their contexts. Compared to patients with chronic health conditions, their enrolled partners tended to benefit less. Male partners of pregnant women seemed to benefit more. Regarding intervention conditions, the findings on the benefit of homework practices were mixed. Methodological themes (e.g., use of control groups, self-report measures, interdependence among couple members) were also summarized and followed with suggestions for future work (e.g., dismantling studies, observational, physiological, and multi-informant methods).</p>\u0000 </div>","PeriodicalId":51396,"journal":{"name":"Family Process","volume":"64 3","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mother–Father Distress, Accommodation, and Child Eating Disorder Behaviors: A Dyadic Perspective","authors":"Alexandra Bédard,&nbsp;Marilou Côté,&nbsp;Dominique Meilleur,&nbsp;Giuseppina Di Meglio,&nbsp;Nathalie Gingras,&nbsp;Caroline Pesant,&nbsp;Danielle Taddeo,&nbsp;Richard Bélanger,&nbsp;Isabelle Thibault,&nbsp;Pierre-Olivier Nadeau,&nbsp;Holly Agostino,&nbsp;Chantal Stheneur,&nbsp;Jean-Yves Frappier,&nbsp;Catherine Bégin","doi":"10.1111/famp.70070","DOIUrl":"https://doi.org/10.1111/famp.70070","url":null,"abstract":"<p>Parental psychological distress and accommodating and enabling behaviors may represent maintaining factors of anorexia nervosa (AN). However, very few studies included both parents; their interdependence is unknown. Using a dyadic approach, this study aimed to examine the relationship between parental psychological distress and accommodation at the admission of their child to specialized eating disorder programs, and their observation of their child's eating disordered behaviors 1 year later. Ninety-one dyads of mixed-gender couples of parents of children and adolescents diagnosed with AN (<i>M</i>_age = 14.5 ± 1.5 years) were recruited from one of the five University Health Centers across the province of Québec, Canada. At admission, parents completed the Psychological Distress Index and the Accommodation and Enabling Scale for Eating Disorders. Furthermore, parents reported their child's anorexic behaviors 12 months later using the Anorexic Behavior Observation Scale. The dyads were nondistinguishable by gender, suggesting a similar pattern of associations for mothers and fathers. Path analyses guided by the actor–partner interdependence model revealed an indirect effect within each parent; higher parental psychological distress was associated with higher child's eating disordered behaviors at the 12-month follow-up through greater parental eating disorder accommodation. A partner effect was also found; when one parent experienced psychological distress, the other parent was more likely to engage in concomitant accommodating behaviors, which, in turn, was associated with a report of more child's eating disordered behaviors by this parent at the 12-month follow-up. These findings highlight the importance of a dyadic perspective in exploring parents' emotional states and behaviors toward children with AN.</p>","PeriodicalId":51396,"journal":{"name":"Family Process","volume":"64 3","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/famp.70070","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144997875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescent-Perceived Maternal Responses to Their Negative Emotions Predict Adolescents' Willingness to Share Emotional Distress With Mothers: A Cross-Lagged Panel Network Model","authors":"Zhonghuang Su,&nbsp;Shuangshuang Wang,&nbsp;Tuo Liu,&nbsp;Yansheng Tian,&nbsp;Ruyi Ding","doi":"10.1111/famp.70069","DOIUrl":"https://doi.org/10.1111/famp.70069","url":null,"abstract":"<div>\u0000 \u0000 <p>The open communication about adolescents' emotions between parents and adolescents is pivotal, as it helps adolescents to understand and manage emotional experiences. Utilizing longitudinal data, we aimed to explore whether maternal supportive or nonsupportive responses to adolescents' negative emotions could predict the communication patterns of adolescents' emotional distress (CPAED) between parents and adolescents. Two hundred Chinese adolescents (65.5% boys, <i>M</i>_age = 14.17 years) completed an online survey in March 2022 (Time 1), and 157 of them (66.2% boys, <i>M</i>_age = 15.17 years) completed the survey again in April 2022 (Time 2) after a 5-week COVID-19-induced home confinement with parents. Results with the Cross-Lagged Panel Network (CLPN) Model showed that adolescent-perceived supportive responses predicted later more active and reactive emotion sharing and predicted less problematic CPAED, such as lack of solicitation by mothers and lack of responses by adolescents. Conversely, nonsupportive responses predicted more problematic CPAED over time. The centrality analyses indicated that across the 5-week interval, the maternal supportive responses may have a stronger predictive role on CPAED than nonsupportive responses. This study underscores the necessity for parents to engage in supportive emotional socialization practices to promote healthy emotional communication in adolescent–mother dyads.</p>\u0000 </div>","PeriodicalId":51396,"journal":{"name":"Family Process","volume":"64 3","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144927504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial Stress, Social Support, and Racial Socialization Among Rural Black Mothers: Associations With Preschoolers' Executive Functioning","authors":"Qiong Wu,&nbsp;Xinyun Kaikai Zhang,&nbsp;Chioma Opara,&nbsp;Ming Cui,&nbsp;Penny Ralston","doi":"10.1111/famp.70068","DOIUrl":"https://doi.org/10.1111/famp.70068","url":null,"abstract":"<p>Racial stress significantly affects Black mothers and their children. To cope, mothers often use racial socialization strategies, such as preparation for bias, cultural socialization, and promotion of mistrust, to help their children manage race-related stress. Guided by the Racial Encounter Coping Appraisal and Socialization Theory, this study investigated the relations among racial stress, social support, and racial socialization among low-income, rural Black mothers and their associations with preschoolers' executive functioning. The study utilized data from 437 Black mothers and their preschool-aged children. Mothers reported their social support over 3 years, as well as racial stress and racial socialization practices. Preschoolers' executive functioning was assessed using a series of laboratory tasks. Findings from a path model indicated that both racial stress and social support predicted the use of racial socialization strategies. Notably, social support was linked to higher cultural socialization under high racial stress. Additionally, maternal racial stress moderated the relations between racial socialization and child executive functioning: preparation for bias was associated with lower executive functioning under high maternal racial stress, and promotion of mistrust was linked with lower executive functioning under low stress. The study highlights the importance of age-appropriate, context-sensitive racial socialization strategies and the need for supportive networks to enhance positive outcomes for Black mothers and children in racially stressful environments.</p>","PeriodicalId":51396,"journal":{"name":"Family Process","volume":"64 3","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/famp.70068","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144923745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}